Organization Active NPI

New Life MFT

  • Marriage & Family Therapist
  • Palmdale, CA
National Provider Identifier
1053342725
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC022672 Issued in CA
Legal business name
NEW LIFE MFT
Practice address
1305 E Palmdale Blvd
Suite 10
Palmdale, CA 93550-4853
Phone
(661) 947-0137
Fax
(661) 947-0860
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Douglas Garner, MA, LMFTNPI 1417120817
Title
President/Clinician
Phone
(661) 947-0137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC022672 CA Primary

Addresses

Primary practice location

1305 E Palmdale Blvd
Suite 10
Palmdale, CA 93550-4853

Mailing address

1305 E Palmdale Blvd
Suite 10
Palmdale, CA 93550-4853
Phone (661) 947-0137

National Provider Directory

National Provider Directory

Locations

1305 E Palmdale Blvd
Ste 10
Palmdale, CA 93550
Phone (661) 947-0137

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1053342725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E PALMDALE BLVD",
            "address_2": "SUITE 10",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504853",
            "telephone_number": "661-947-0137",
            "fax_number": "661-947-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E PALMDALE BLVD",
            "address_2": "SUITE 10",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504853",
            "telephone_number": "661-947-0137",
            "fax_number": "661-947-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT/CLINICIAN",
        "authorized_official_telephone_number": "661-947-0137",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC022672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.